Active NPI
Gretchen Haynes Carter, D.P.M
- Primary Podiatric Medicine Podiatrist
- Linden, NJ
National Provider Identifier
1194876789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 25MD0024110
- Practice address
- 1200 Roselle St
Linden, NJ 07036-2529 - Phone
- (973) 485-6799
- Fax
- (973) 485-6711
- NPI assigned
- Jan 12, 2007
- Last updated
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 25MD0024110 | NJ | Primary |
Addresses
Primary practice location
1200 Roselle St
Linden, NJ 07036-2529
Mailing address
PO Box 337
Orange, NJ 07051-0337
Phone (908) 486-9091
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223620546 | Other | NJ | BLUE CROSS/BLUE SHIELD |
| 145525 | Other | CHN | |
| 777006 | Medicaid | NJ | |
| 480025921 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD0024110 | NJ | MD | Primary Podiatric Medicine Podiatrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Podiatric Medicine Podiatrist
- Newark, NJ
- NPI 1063550358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1194876789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070510337",
"telephone_number": "908-486-9091",
"fax_number": "908-634-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ROSELLE ST",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070362529",
"telephone_number": "973-485-6799",
"fax_number": "973-485-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "GRETCHEN",
"middle_name": "HAYNES",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NJ",
"license": "25MD0024110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "223620546",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHN",
"identifier": "145525",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "777006",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480025921",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.